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Oklahoma rates for HCPCS A5057

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (one piece), each

Facilitymedian $8 · 10th–90th $7–$220%20%10th90th$8Professionalmedian $7 · 10th–90th $5–$120%10%10th90th$7$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $14.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $9.33 / $41.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.46 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.17 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $8.71